HomeMy Public PortalAbout5748 CAMELLIA AVE_Building__ ;;u°°" APPLICATION FOR BUILDING PERMIT ],
DriMON OF BUILDING AND SAFETY BUILDING r
Depmbnsmt of Co>mty Enghmm ADDRESS
County of Los Angeles LOCAL
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JOHN A. LA BIE, COUNTY ENGINKKR NEAREST
CA"ATT D.GRIFFIN, BU-'T OF BUILDING rROSS ST.
MAP
FOR APPLICANT TO FILL IN DIJiTR o. oRouP rn,E B SK Po
CONST.
BUILDINGMAP STATit
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ADDRENUMBER HWY YES O
LOT NO. BLOCK USE ZONE SPHCIAe
ITI
CONDITIONS
TRACT ire-5
NO. OF SLOGS.
SIZE OF LOT NOW ON LOT BUILDING YARD HWY STREET NAMt ®(IST.
SETBACK' WIDTH
UsEOF FRONT /
EXISTING BLDG.
OWNER W SIDE I
P.
MAIL
ADDRESS S7L ��77 O TRACT DWELL I UNIT D INDUSTRIAL
CITY ti fid) NO 6 1 DwmL 1 UNIT d PUBLIC BL.DO.
ARCHITECT OR TEL. 2 DUPLEX 2 UNITS
ENGINEER NO. g •,,P1', UNITS 7 ADDN.,ALT., ETC.
B MIBCEL
ADDRE88 4 •COMMERCIAL -
Tei IN
gpg ,('LION RECORD
CONTRACTOR NO.
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I ADDRE.BB ,5 -
DESCRIPTION OF WORK
I '
NEW ADD ALTER REPAIR DEMOLISH
SQ.FT. NO. OF NO. OF
81Z STORIES FAMILIES
U89 OF S'TRUCTURI
SIGNATURE OF
'APPLICANT - APPROVALS
ADDRESS DATE IXIIPECTOR'S SIGXATURY
P. C. S FOUNDATION:
MATERL IAALL.BTION
FEt FRAME: FIRE QTOPS,
PILHEREE
ION t BRACING. BOLTS
FURNACE: LOCATION,
Y ACKNOWLEDGLLETHAT 1 HAVE READ THIS GAS VENT, DUCTS
TION AND STATt THAT THE ABOVE 18 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCE$ LATH, INT.
AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION. LATH, MIT,
SIGNATURE OFHOUSE NUMBER COR-
PERMITTEE h/t RECT.AND POSTED
ADDRESS Z FINAL
JOHN A.LAIdBIE.COUNTY ENall'IEER Y ATION CLYDE N. DI CHIMr EI' IIkTOR
Y O CA"
G�'�'•l ST 1 tJ�. �a RtS-- �d�Pl. ��i
M7 0 8 2 19 DEC 1 1 A 3.0 0 �
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7 K�1M DW tl•i4 ' `
APPLICATION FOR BUILDING PERMIT ].
DMMON OF BUILDING FIND SAFETY BUILDtNBa
D�IIt of Co-tp Eava- r ADU I'
C4mxt7 of Los Ang" LOCALITY
WM. J. FOX, COUNTY ENGIN[IR
CIIINEARSAf
AATT D. GRIFFIN, our'T of BuILDtMa CROSS ST. O
DISTRICT NO. GROUP ,IYPt SEW K h0
FOR APPLICANT TO FELL IN
BUILDING
ADDREII8 & STATS YL1• NO
MDER 4�1f HWY - �•
LOT NO. /_ # �i BLOCK USS ZONE[ SPECIAL -
/���jjj��
CONDITIONS
TRACT - t '•3,-,3, Dov
NO. OF SLDGS.
SIZE OF LOT NOW ON LOT BUILDING YARD HWY STREET NAME EXIST'
USE OFSETBACK WIDTH
EXISTING BLD . 1 FRONT
P. L.
OWNER IIIDE - - -�
MAIL
ADDREIIS .
TEL 1 DWELL I UNIT 8 INDUSTRIAL
CITY NO.
2 DUPLEX UNIT 6 PUBLIC BLDG
ARCHITECT OR TEL
ENGINEER NO. 3 APT UNI 7 ADDN.,ALT., ET
ADDRESS q COMMERCIAL 8 MIIIC El
TEL 'T
Wl
CONTRACTOR N fel INSPECTION RECORD
ADDRESS t
DESCB.IPTION OF WOES -
NEW ADD ALTER REPAIR DEMOLISH
SO. FT. NO. OF NO. OF _
SIZE STORIES FAMILIES
US F STRIJCTU
SIGNATURE OF '
APPLICANT APPROVALS
ADDRESS DATE INSPECTOR'S 519RATURE
s P. C. S FFORMSTMATERIALL.STION
VALUATION � � FE s d F7UME: FIRE STOPS,
GRACING BOLTS
FEE /�� FURNACE: LOCATION,
OAS VENT DUCTS
1 HEREBY ACKTIOWLEDGS THAT 1 HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH INT•
AND STAT[ LAWS RROULATING BUILDING CONDTRUC-
TIO?L LATH EXT.
t
SIGNATURE OF HOUSE NUMBER COP,
Pl RMTTTE$ �+"�•('r RECT AND POSTIP
ADDRE dflFINAL
w&. J. frox, couwrY xNamam VALIDATION
BY DPSG.3r mIR12 �'o 01
,PUTY D[p9
DY IIY r
m DBPUTY /I DEPUTY
WORKERS'COMPENSATION DECLARATI
�O
sN
q
' �nsu� ,lbraacerrtificcatteofWorken'have a iComtpensatonlnsura nt to ce APPLICATION FOR BUILDING PERMIT
``Ur a cer:InW
copy thereof (Sec. 3800, Lab. C.7
COUNTY OF LOS ANGELES BUILDING AND SAFETY
PaIIcyNCompany
Certified copy Is hereby furnished. FOR APPLICANT TO FILL IN BUILDING
ADDRESS
Certified copy Is filed with the county building spec- BUIp�
tion department. Osmr& 41t,
Do to n f CrTY ZIP LOCALITY
CERTIFICATE OF R NO. OF UDGS.
COMPENSATION RANCE SIZE,OF LOT NOW ON 10T ST-
(This section need not be com ted If the perm Is for one
hundred dollar (;100)or less- TRACT BLOCK LOT NO. MAP BOOT( PAGE PARCEL
�' LtSE E '
I certify that In the performance of the work for which this oy"I"n NO NO.
permit is Issued, I shall not employ any n In any manner �_ l ISPECL� p
so as to become subject to th'e Workers m pensatlon Laws. ADDRESS 03. DMCX45 O
Date Applicant CITY LP (�
NOTICE TO APPLICANT: If, after making this Certificate of ARCHPECT NO
DISTRICT TYPE FIRE BY Q�
Exemption, you should become subject to the Worker' ����1) T C)
OONST.` / ZONE
Compensation provisions of the Labor Code, you must forth- ADDS L/LV V
with comply with such provisions or this permit shall be TEL STATISTICAL�TKNI AFT. co
deemed evoked. Z
UCENSED CONTRACTORS DECLARATION UG CLASS NO. DWHl. UNITS
I It n affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. � l
SEWER
(commenting wtth Sector 7000)of Dlviston 3 of the Business and LIC MAP
Profenlons Code, and my license Is In full force and effect. CITY CLASS BK. Pb VALDATION
SQ. FT. NO.OF NO.Cf CHECK
Ucense Number Lie Class rA S11f STORIES LYES ONE
VALUATION
7 NEW
Contractor Dat• J �W� =
AM
❑ I am exempi under Sec. ALS , S'9 8 Q 6 A
B.3P.C. for this reason REPAIR $ # 0 0 0 *-oil
OF
Date:
USE
BLDG. St DEMOL I o - 40,50
Signature APPUCAW TEL
.Qjr _ NOFINAL _
OWNER-BUILDER DECLRA
ATIONINT) DATE o'o o (( Q 5 0
I hereby affirm that I am exempt from the Contractors License
iS
Law for the following reason (Section 7031.5, Business and ADDRESS
Professlons Code): BUILDN 06.07 -8 8
NG
I, as owner of theproperty, or my employees with ADDRESS.
wages as their sole compensation,will do the work and '
the structure Is not Intended or offered for sale(Section LAITY
70.44, Business and Professions Code. MOVING Ta-
1, as owner of the property, am excluslvely conhadIng Q2bE&AEOR NO. `
with licensed contractors to construct the project (Sec- ADDRESS
Hon 7044, Business and Professions Code}. TOTAL SETBACK
CONSTRUCTION LENDING AGENCY YARD ENVY PROP. UNE
I hereby affirm that there Is a construction lending agency for FRONT
the performance of the work for which this permit Is Issued P.L.
(Sec. 3097, Cjv. C.� SIDE
P.L.
Lender's Name
LDAAA Ref. f
$
P.C_Fee s Perm It Fee
Lenders Address,
! 1 certify that I have read this application and state that the lassoes Fee LDMA P/C/
above Information Is correct. I agree to co all County Inve:Hpation Fee
$ ordinances and State laws ullding construction,
Q Total Fee
and h crize Ives of this County to enter s LDr4W Pe7m. f'
u e on pro for Inspection purposes.
c si f:/Vlsit POR HXMJINATOCY LAPNOUAGN
Stammm,4VApp4iart Date
COUNTY OF LOS ANGELES TEMPLE CITY 0 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AKD SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 05089712290017
PHONE: (818) 285-0488 EXT:
LEGAL •
NO. OF CONST BUI LC
TR: 6561LT: 546 UN: .002 SQ. FT STORIES TYPE 574-8 CAMELLIA AV
STRUCTURE: 1000 VN TEMP CA 917802501
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: WORKMAN
8587-022-018 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C
I MAN I EXIST BLDG USE: RESID USE ZONE: 1 PROCESSED BY: EXPIRES-ON:
EXIST OCC GRP: - 12/29/97 VGOWNER: TEL. *0: BLDGS. NOW ON VA.LUArr5w-- FINAL DATE I I W��K CODE:
I in
NESTEIN BENNO G;BARBARA J (626) 286-3439- 3,000
5748 CAMELLIA AV
TEMP 917802501 FEES PAID MCRIPTI WORK
F AND
FEE DESCRIPTION: QUANTITY: UOM: AMOIlIIT: T/0 EXIST INSTALL MOP ROOFING
APPLICANT: TEL. NO:
UNITED REMODELING (818) 753-2044- AA BLDG PERMIT ISSUANCE 27,
AC STRONG MOTION-.REBID----•.3000.00 VAL 0.50 SPE�IAL CONDITIONS:
D2 PERMIT YLO-E_N HC---= =-:30OOzQ0 VAL 99.15
127.40
CON V-AZTOR: TEL. W: APPROVALS DATE IN
UNITED REMODELING (818) 753-2044-
6106
53-2044 6106 BELLAIRE LIC. NO :rLOCATION AND SETBACKS
NORTH HOLLYWOOD, CA 91606 647338 SOILS�}r
I- A
ARCHITECT OR ENOIN EER: TEL. NO:
LIC. NO I —---- �,l 111111 .1 J
RAISED FL
- - -
MAP NO: SEWER MAP BOOK: PAGE: FIRE )R
INSULATION
150-269 3NO. DF FAMILIES: DWELLING UNITS: APT/COKD: STAT CLASS,
• —JL��' ,�
No 21 i fir:. . f �,J ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS ol
AIR QUALITY: 1000 FEET MATERIALS 1 - �I; s•� i
Mo No MO i I \ ,4•''= FRAME INSPECTION
�J/; _ ice; .yG S•. , SPRINKLER
SET BACK YARD: Y: PROP LIME: YIDTH: � '
1#1
FRONT PL- _i1'1C3 ��_�� IUULATIONAJEATHER STRIP
SIDE PL-
INTERIOR LATU5ff79C'E---
EXTERIOR LATH
RATED-WALL ASSEMBLIES
T-BAR CEILINGS
LUT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0505